HomeMy WebLinkAbout329 Primrose Road - SL - 2015.01.02 - 10 YearsCITY
City of Burlingame
RU
Public Works Department
Sewer Lateral Test Certificate
Address: Tested Date:
Owner: Building Permit
Contractor Name: XA_x,Z�t.04\ Encroachment Permit
City Staff Name:
Cleanout Location: Front F1 Rear El Left El Right
Face of Curb
Lateral Size:
Cleonout: 0 Existing El New Instal latian
COMMenIS and/ or
Sketch: — &Z"L
Water El Air
Status: Pass El Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year
- - ----- ----- ---
Partial Repair Made
10 Year . ....... ... .
New Installation
25 Year El